Active NPI
Charles Reginald Woods III, M.D.
- Radiation Oncology Physician
- Riverdale, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 069673
- Practice address
- 275 Professional CT
Suite B
Riverdale, GA 30274-2531 - Phone
- (770) 907-0554
- Fax
- (770) 907-9048
- NPI assigned
- Aug 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 069673 | GA | Primary |
Addresses
Primary practice location
275 Professional CT
Suite B
Riverdale, GA 30274-2531
Mailing address
275 Professional CT
Suite B
Riverdale, GA 30274-2531
Phone (770) 907-0554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Medical College of Georgia School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1255 Hwy 54 W
Fayetteville, GA 30214-4526
Phone (770) 719-7071
Hospital & facility affiliations
- Piedmont Fayette Hospital
- Piedmont Hospital, Inc
- Piedmont Newnan Hospital, Inc
- Piedmont Henry Hospital
- Northside Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Griffin Regional Radiation Therapy Center, Inc. | Radiation Oncology | Current | Accepting new patients |
| Therapeutic Radiation Oncology, PC | Radiation Oncology | Current | Accepting new patients |
Locations
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
1800 Hospital South Dr
Austell, GA 30106
Phone (770) 793-7196
1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911
725 S 8th St
Griffin, GA 30224
Phone (404) 222-9411
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
275 Professional Ct
#B
Riverdale, GA 30274
Phone (770) 907-0554
275 Professional Ct
#A
Riverdale, GA 30274
255 Professional Ct
Riverdale, GA 30274
Phone (770) 907-0554
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiation Oncology Physician
- Fayetteville, GA
- NPI 1629019534
-
- Radiation Oncology Physician
- Griffin, GA
- NPI 1255376174
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480982400000",
"number": "1679739825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 PROFESSIONAL CT",
"address_2": "SUITE B",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302742531",
"telephone_number": "770-907-0554",
"fax_number": "770-907-9048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 PROFESSIONAL CT",
"address_2": "SUITE B",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302742531",
"telephone_number": "770-907-0554",
"fax_number": "770-907-9048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "CHARLES",
"middle_name": "REGINALD",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-06",
"last_updated": "2016-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "GA",
"license": "069673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.